Organization
MICHAEL G. RALLIS, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GEORGE RALLIS MD (OWNER)
(910) 259-5011
Entity
Organization
Contact information
Practice address
2778 COUNTRY CLUB DR, HAMPSTEAD, NC 28443-8028
(910) 259-5011
(910) 259-3060
Mailing address
PO BOX 1179, BURGAW, NC 28425-1179
(910) 259-5011
(910) 259-3060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23750
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69959
BCBS
NC
05
—
8969959
—
NC
Enumeration date
02/19/2008
Last updated
05/03/2022
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